[Individualized therapeutic intervention to support transition to nursing home: a case study]

Area of Science:

• Geriatric Healthcare
• Clinical Psychology
• Rehabilitation Medicine

Background:

• Older adults face significant psychological challenges during transitions, such as moving to a nursing home.
• Effective therapeutic interventions are crucial for managing emotional and psychological changes in this demographic.
• Individualized support is needed to address the unique needs of patients during healthcare transitions.

Purpose of the Study:

• To evaluate an individualized therapeutic intervention for a 78-year-old patient transitioning to a nursing home.
• To assess the impact of the intervention on psychological flexibility, depressive symptoms, traumatic symptoms, and self-concept clarity.
• To explore the role of personalized therapy in supporting older adults through significant life changes.

Main Methods:

• A single-case protocol was employed, including pre-tests, three intervention sessions, and post-tests.
• Clinical analysis and assessments focused on psychological flexibility, depressive and traumatic symptoms, and self-concept clarity.
• The intervention aimed to enhance emotional regulation and facilitate reconnection with personal values and identity.

Main Results:

• The patient demonstrated improved psychological flexibility, leading to better emotional regulation.
• Depressive and traumatic symptoms associated with the nursing home transition decreased significantly.
• Self-concept clarity remained stable, but the patient showed enhanced ability to identify personal needs, values, and creativity.

Conclusions:

• Individualized therapeutic interventions are effective in supporting older adults during transitions to nursing homes.
• Focusing on psychological flexibility and personal values can mitigate psychological distress and improve adjustment.
• Personalized care that addresses emotional and identity needs is vital for holistic well-being in geriatric patients.